A nurse is assessing a patient with a hemoglobin level of 7 g/dL.
What is the appropriate indication for blood transfusion based on this hemoglobin level?
"I'm feeling weak and dizzy.”
"My hemoglobin is 7 g/dL, so I need a transfusion.”
"I had orthopedic surgery yesterday.”
"I have a stable cardiovascular disease.”
The Correct Answer is B
Choice A rationale:
"I'm feeling weak and dizzy." Rationale: Weakness and dizziness can be symptoms of anemia, which is often associated with low hemoglobin levels.
However, these symptoms alone are not a definitive indication for blood transfusion.
Other factors, such as the patient's overall clinical condition and the cause of the low hemoglobin, need to be considered.
Choice B rationale:
"My hemoglobin is 7 g/dL, so I need a transfusion." Rationale: This statement indicates that the patient is aware of their low hemoglobin level and believes they need a transfusion.
The hemoglobin level of 7 g/dL is a common threshold used as an indication for blood transfusion, especially in symptomatic patients.
This choice is correct because it aligns with the appropriate clinical indication for a transfusion based on the hemoglobin level.
Choice C rationale:
"I had orthopedic surgery yesterday." Rationale: While surgery can lead to blood loss, the statement alone does not provide sufficient information to determine if a transfusion is necessary.
The decision to transfuse blood should be based on the patient's hemoglobin level, overall clinical condition, and the extent of blood loss during surgery.
Choice D rationale:
"I have a stable cardiovascular disease." Rationale: The presence of stable cardiovascular disease is not directly related to the need for a blood transfusion based on a hemoglobin level of 7 g/dL.
The decision to transfuse should primarily be based on the patient's hemoglobin level and symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Whole blood.
Rationale: Whole blood contains red blood cells, plasma, platelets, and clotting factors.
While it can increase fibrinogen levels, it also contains other components that may not be necessary for a patient with hemophilia A.
Fresh frozen plasma (FFP) is a more specific choice for increasing fibrinogen levels.
Choice B rationale:
Packed red blood cells (PRBCs)
Rationale: PRBCs primarily consist of red blood cells and are not a suitable choice for increasing fibrinogen levels.
Hemophilia A is a clotting disorder, and fibrinogen is a clotting factor found in plasma.
PRBCs do not contain significant amounts of plasma or clotting factors.
Choice C rationale:
Fresh frozen plasma (FFP)
Rationale: FFP is the most suitable choice for increasing fibrinogen levels in a patient with hemophilia A.
FFP contains all the clotting factors, including fibrinogen, and can help correct coagulation abnormalities in these patients.
Choice D rationale:
Platelets.
Rationale: Platelets are involved in the clotting process, but they do not contain significant amounts of fibrinogen.
Platelets are used to treat conditions where there is a deficiency in platelet count or function, not to increase fibrinogen levels.
Correct Answer is D
Explanation
Choice A rationale:
This choice is incorrect.
While individuals with AB+ blood type are considered universal recipients for plasma components, they cannot receive blood from donors with the O- blood type.
Choice B rationale:
This choice is also incorrect.
AB+ individuals can receive blood from AB+ and AB- donors, but not exclusively from them.
Choice C rationale:
This choice is incorrect as well.
AB+ individuals can receive blood from AB+ donors, A+ donors, and B+ donors, but this statement does not provide a complete and accurate picture of their compatibility.
Choice D rationale:
This choice is correct.
Individuals with blood type AB+ can safely receive blood from donors with blood types AB+, A+, A-, or B+.
The rationale behind this is that AB+ individuals have both A and B antigens on their red blood cells and do not have anti-A or anti-B antibodies in their plasma.
Therefore, they can receive blood with ABO and RhD compatibility.
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